| NPI | 1730322967 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CA A134512) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: CT 050260) |
| Enumeration Date | 2009-04-17 |
| Last Update Date | 2016-02-22 |